Individual
ALLISON MARIE MINYAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2000
Mailing address
9100 W 74TH ST, MERRIAM, KS 66204
(913) 676-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
53-83160-022
KS
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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